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Contact Information

JONI M STASIAK, MD
635 LOCUST STREET
MALVERN, OH44644
 Phone: 330-863-9061
 Fax: 330-863-6492
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JONI M STASIAK · (Female)

NPI # 1245219187
Status Active
Credentials MD
Entity Individual
Enumeration date 01/10/2006
Last updated 10/29/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35067081
  • OH Medicaid 0187837
  • OH Other 000000210940 ANTHEM BC BS
  • OH Other P00148632 RAILROAD MEDICARE
  • OH Other 1389825 UNITED HEALTHCARE
Hospital affiliation(s)
  • AULTMAN HOSPITAL - (Acute Care)
    2600 SIXTH STREET SW
    CANTON, OH 44710
  • MERCY MEDICAL CENTER - (Acute Care)
    1320 MERCY DRIVE NW
    CANTON, OH 44708
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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